A Stepwise Approach to Management of Open Radiocarpal Fracture-Dislocations: A Case Report

2017 ◽  
Vol 22 (03) ◽  
pp. 366-370 ◽  
Author(s):  
Colin Yi-Loong Woon ◽  
Taizoon Baxamusa
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Unique Case ◽  
Stepwise Approach ◽  
Second Stage ◽  
Fracture Dislocations ◽  
Manual Pressure ◽  
Operating Room Staff

Radiocarpal dislocations are uncommon and occur after significant trauma. We describe a unique case of open radiocarpal fracture-dislocation presenting with progressive neurovascular compromise. Staged management was necessary. As a first stage, emergent provisional bedside reduction in the emergency room with manual pressure through the open wounds was performed. The second stage then involved formal open reduction and internal fixation as soon as operating room staff and resources became available.

Results of Treatment of Chronic Dorsal Fracture-Dislocations of the Proximal Interphalangeal Joints of the Fingers

1998 ◽  
Vol 23 (6) ◽  
pp. 798-801 ◽  
Author(s):  
O. ISHIDA ◽  
Y. IKUTA
Keyword(s):  
Articular Cartilage ◽  
Internal Fixation ◽  
Open Reduction ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Fracture Dislocation ◽  
Results Of Treatment ◽  
Palmar Plate ◽  
Fracture Dislocations

We reviewed 20 cases of chronic dorsal fracture-dislocation of the proximal interphalangeal joint, with a mean follow-up period of 74 months. In patients without comminuted palmar fragments, open reduction and internal fixation or osteotomy of the malunited fragment provided good results. In treating patients with damaged articular cartilage or with comminuted palmar fragments by palmar plate arthroplasty, poor results were obtained because of secondary osteoarthritic changes.

FACTORS AFFECTING THE FUNCTIONAL RESULTS OF OPEN REDUCTION AND INTERNAL FIXATION FOR FRACTURE-DISLOCATIONS OF THE PROXIMAL INTERPHALANGEAL JOINT

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 107-114 ◽  
Author(s):  
Kentaro Watanabe ◽  
Yoshitake Kino ◽  
Hiroki Yajima
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Functional Results ◽  
Fracture Dislocation ◽  
Factors Affecting ◽  
Flexion Extension ◽  
Motion Exercise ◽  
Fracture Dislocations ◽  
Pip Joint ◽  
The Mean

To clarify the factors affecting functional results of fracture-dislocations of the proximal interphalangeal (PIP) joint treated by open reduction and internal fixation (ORIF), 60 patients, including 38 patients with a dorsal fracture-dislocation and 22 with a pilon fracture, were analysed. The mean ratio of articular surface involvement was 48.5% and a depressed central fragment existed in 75.3% of the cases. ORIF was performed in 47 patients through a lateral approach using Kirschner wires and in 13 through a palmar approach using a plate or screws. The mean flexion, extension and range of motion (ROM) of the PIP joint was 89.5°, 11.5° and 78.0°, respectively. Stepwise regression analysis revealed that a delayed start of active motion exercise after surgery, elderly age and ulnar ray digit were factors affecting functional outcomes. Although ORIF allows accurate restoration of the articular surfaces, an early start of motion exercise is essential for good results.

Proximal and Palmar Dislocation of the Lunate and Proximal Scaphoid as a Unit in a Case of Scaphocapitate Syndrome

1998 ◽  
Vol 23 (2) ◽  
pp. 266-268 ◽  
Author(s):  
R. PANDIT
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Functional Result ◽  
Fracture Dislocation ◽  
Long Term Results ◽  
Proximal Pole ◽  
Fracture Dislocations ◽  
Perilunate Fracture Dislocation ◽  
Palmar Aspect

Various patterns of transscaphoid, transcapitate fracture-dislocations have been described in the literature. There is little information on the method of management and the long-term results of such severe and rare injuries. The case described here involved a transscaphoid, transcapitate, palmar perilunate fracture-dislocation with ejection of the proximal pole of the scaphoid and lunate into the palmar aspect of the forearm. The functional result 32 months after delayed open reduction and internal fixation is reported.

scholarly journals Trapezium and Bennett Fracture – A Rare Base Thumb Fracture Pattern:A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Gabriel Pina ◽  
Maria Rita Vaz ◽  
Ana Vaz ◽  
Ana Abrantes ◽  
Luís Machado
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Hand Surgery ◽  
Clinical Results ◽  
Fracture Dislocation ◽  
Mobility Limitations ◽  
Anterior Oblique Ligament ◽  
Trapezium Fracture ◽  
Bennett Fracture

Introduction: Trapezium fracture is a rare entity whose treatment is controversial. The reported cases range from conservative treatment to surgical treatment with good reported results. Case Report: This paper reports a clinical case of trapezium-metacarpal fracture-dislocation associated with trapezius fracture and Bennett fracture, surgically treated with excellent functional and radiological results. The patient underwent open reduction and internal fixation with two screws, excision of fragments, and reinsertion of the anterior oblique ligament. At the year of follow-up, the patient presented no mobility limitations and recovered grip strength. Conclusion: This case study allows us to conclude that open reduction and internal fixation with screws of the dorsal trapezium ridge fractures with ligament repair of the anterior oblique ligament is a valid treatment with the reproduction of good clinical results. Keywords: Hand surgery, internal fixation, trapezium fracture.

Fivefold Fracture in a Perilunate Fracture Dislocation Involving Scaphoid, Capitate, Hamate, Triquetrum and Lunate: A Case Report

2020 ◽  
Vol 25 (01) ◽  
pp. 119-122
Author(s):  
Cedric E. Boesch ◽  
Gabriel Dejdovic ◽  
Kevin Beutler ◽  
Adrien Daigeler ◽  
Fabian Medved
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Dislocation ◽  
Scapholunate Ligament ◽  
Left Wrist ◽  
Perilunate Dislocation ◽  
Perilunate Fracture Dislocation

This case report presents a very rare fracture combination in a perilunate dislocation including the scaphoid, capitate, hamate and triquetrum and the cornu anterior of the lunate, with an intact scapholunate ligament in a left wrist. An open reduction and internal fixation of the scaphoid, capitate, hamate and triquetrum was performed.

scholarly journals Functional outcome of galeazzi fracture dislocation treated by open reduction and internal fixation with dynamic compression plate

2021 ◽  
Vol 9 (5) ◽  
pp. 1352
Author(s):  
Manoj Kumar ◽  
Amit Kumar ◽  
Sanjeev Gupta ◽  
Neeraj Mahajan ◽  
Zubair A. Lone ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Dynamic Compression ◽  
Distal Radioulnar Joint ◽  
Fracture Dislocation ◽  
Rigid Internal Fixation ◽  
Galeazzi Fracture ◽  
Anatomic Reduction ◽  
Fracture Dislocations

Background: Galeazzi fracture involves fracture of the distal 1/3rd of   radius shaft associated with dislocation of distal radioulnar joint. Open reduction and rigid internal fixation of radius is goal standard treatment. The aim of this study was done to evaluate the functional outcome of Galeazzi fracture dislocation managed by open reduction and internal fixation of radius.Methods: The study was conducted in department of orthopaedics Government Medical college Jammu from December 2018 to February 2021. 30 patients of Galeazzi fracture dislocation were managed with Open reduction and internal fixation of Radius with plating and were followed up to evaluate the results.Results: Age of the patients ranged between 23 years to 60 years with a mean range of 42 years. 22 cases were male (73.3%), 8 cases were females (26.6%). In 19 cases injury was in right side and in 11 cases injury was in left side. In most of the cases injury was due to due to RTA (80%) and in rest of cases injury was due to fall from height (20%).Conclusions: Anatomic restoration of length of the radius with rigid internal fixation is key to satisfactory results in Galeazzi fracture dislocations and K-wire fixation of distal radio ulnar joint is not necessary if anatomic reduction of the joint is obtained by indirect means such as open reduction and internal fixation of the radius and immobilization. 

Closed Reduction Transarticular Kirschner Wire Fixation Versus Open Reduction Internal Fixation in the Treatment of Bennett’s Fracture Dislocation

2003 ◽  
Vol 28 (2) ◽  
pp. 142-147 ◽  
Author(s):  
M. SAILER ◽  
R. LUTZ ◽  
R. ZIMMERMANN ◽  
M. GABL ◽  
H. ULMER ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Closed Reduction ◽  
Open Reduction ◽  
Kirschner Wire ◽  
Open Reduction Internal Fixation ◽  
Fracture Dislocation ◽  
Fracture Fragment ◽  
Bennett’S Fracture ◽  
Kirschner Wire Fixation ◽  
Fracture Dislocations

Thirty two patients with fracture dislocations of the base of the thumb metacarpal with a single large fracture fragment (Bennett’s fracture) were either treated by open reduction and internal fixation or closed reduction and percutaneous transarticular Kirschner wiring. All were assessed at a mean follow up of 7 (range 3–18) years. Patients with an articular step off more than 1 mm were excluded. The type of treatment did not influence the clinical outcome or the prevalence of radiological post-traumatic arthritis. The percutaneous group had a significantly higher incidence of adduction deformity of the first metacarpal. This was attributed to Kirschner wire placement near the fracture line or in the compression zone of the fracture, resulting in loss of reduction. This however did not result in an inferior outcome.

scholarly journals Nascent Malunion of an Isolated Intraarticular Fracture of the Ulnar Head

2019 ◽  
Vol 09 (03) ◽  
pp. 240-243
Author(s):  
Frank Nienstedt ◽  
Markus Mariacher ◽  
Günther Stuflesser ◽  
Wilhelm Berger
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Excellent Result ◽  
Corrective Osteotomy ◽  
Fracture Dislocation ◽  
Intraarticular Fracture ◽  
Ulnar Head ◽  
Ulnar Styloid Fracture ◽  
Palmar Approach

Abstract Background Isolated fractures of the ulnar head are rare. Only few cases have been reported in literature. Case Description We report a case of a 16-year-old student who was treated for an ulnar styloid fracture conservatively. An associated displaced intraarticular fracture of the ulnar head has been overlooked. He presented late in our clinic with a symptomatic nascent malunion of the ulnar head fracture. A corrective osteotomy by a palmar approach was performed. Fixation by screws was used with an excellent result at 7-year follow-up. Literature Review The rare cases of isolated ulnar head fractures reported in literature were treated by open reduction and internal fixation only in case of fracture dislocation. Clinical Relevance The authors highlight the fact that even a nascent malunion of an isolated intraarticular fracture of the ulnar head may be treated successfully by open reduction and internal fixation.

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